| NPI | 1255427365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CA A63957) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: OR MD194752) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD194752) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2019-09-27 |